... guidelines and provider contract requirements. * Devises clinical summary post-review ... Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional ...
... guidelines and provider contract requirements. * Devises clinical summary post-review ... Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional ...
Investigator, Special Investigative Unit Coding-Miami Florida
Long Beach, CA · On-site +1
$21.82 - $42.55/hr
... guidelines and provider contract requirements. * Devises clinical summary post-review ... Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional ...
Investigator, Special Investigative Unit Coding-Miami Florida
Long Beach, CA · On-site +1
$21.82 - $42.55/hr
... guidelines and provider contract requirements. * Devises clinical summary post-review ... Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional ...
Investigator, Special Investigative Unit Coding-Miami Florida
Long Beach, CA · On-site
$21.82 - $42.55/hr
... guidelines and provider contract requirements. * Devises clinical summary post-review ... Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional ...
Investigator, Special Investigative Unit Coding-Miami Florida
Long Beach, CA · On-site
$21.82 - $42.55/hr
... guidelines and provider contract requirements. * Devises clinical summary post-review ... Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional ...
Monitor contract performance trends, review reimbursement accuracy, and provide data-driven ... Professional certifications such as HFMA CRCR, CPHQ, or coding credentials including CCS or CPC
Monitor contract performance trends, review reimbursement accuracy, and provide data-driven ... Professional certifications such as HFMA CRCR, CPHQ, or coding credentials including CCS or CPC
Revenue Cycle Manager
San Francisco, CA · On-site
$100K - $106K/yr
... in accordance with third-party contract terms including Medicare, Medi-Cal, managed care ... Act as leader on implementation of billing/coding-related changes, including ICD-10 and CPC updates.
Quick apply
Revenue Cycle Manager
San Francisco, CA · On-site
$100K - $106K/yr
... in accordance with third-party contract terms including Medicare, Medi-Cal, managed care ... Act as leader on implementation of billing/coding-related changes, including ICD-10 and CPC updates.
Revenue Cycle Manager
San Francisco, CA · On-site
$100K - $106K/yr
... in accordance with third-party contract terms including Medicare, Medi-Cal, managed care ... Act as leader on implementation of billing/coding-related changes, including ICD-10 and CPC updates.
Revenue Cycle Manager
San Francisco, CA · On-site
$100K - $106K/yr
... in accordance with third-party contract terms including Medicare, Medi-Cal, managed care ... Act as leader on implementation of billing/coding-related changes, including ICD-10 and CPC updates.
Billing Auditor
$25 - $27/hr
We serve Medi-Cal members across multiple counties through contracts with managed care plans and ... CPC, CCS, or equivalent coding certification. Knowledge of 837/835 electronic transaction standards.
Billing Auditor
$25 - $27/hr
We serve Medi-Cal members across multiple counties through contracts with managed care plans and ... CPC, CCS, or equivalent coding certification. Knowledge of 837/835 electronic transaction standards.
Billing Auditor
Carlsbad, CA · On-site
$25 - $27/hr
We serve Medi-Cal members across multiple counties through contracts with managed care plans and ... CPC, CCS, or equivalent coding certification. ▸ Knowledge of 837/835 electronic transaction ...
Billing Auditor
Carlsbad, CA · On-site
$25 - $27/hr
We serve Medi-Cal members across multiple counties through contracts with managed care plans and ... CPC, CCS, or equivalent coding certification. ▸ Knowledge of 837/835 electronic transaction ...
Billing Auditor
Carlsbad, CA · On-site
$25 - $27/hr
We serve Medi-Cal members across multiple counties through contracts with managed care plans and ... CPC, CCS, or equivalent coding certification. ▸ Knowledge of 837/835 electronic transaction ...
Quick apply
Billing Auditor
Carlsbad, CA · On-site
$25 - $27/hr
We serve Medi-Cal members across multiple counties through contracts with managed care plans and ... CPC, CCS, or equivalent coding certification. ▸ Knowledge of 837/835 electronic transaction ...
Non-Clinical Intake Coordinator
Bakersfield, CA · On-site
$18.50 - $25.25/hr
MA/CNA + 2+ years managed care + coding cert (CPC/CCA preferred) The Non-Clinical Case Manager ... Current Health certificate (per contract or state regulation) * Must meet all federal, state and ...
Non-Clinical Intake Coordinator
Bakersfield, CA · On-site
$18.50 - $25.25/hr
MA/CNA + 2+ years managed care + coding cert (CPC/CCA preferred) The Non-Clinical Case Manager ... Current Health certificate (per contract or state regulation) * Must meet all federal, state and ...
Denials Specialist - (2 PT)
San Francisco, CA · Remote
$21.25 - $28.25/hr
Working knowledge of payer contracts, medical necessity criteria, and appeal procedural requirements. Coding certification (CPC/CCS) required for coding-related denials. Experience with at least one ...
Denials Specialist - (2 PT)
San Francisco, CA · Remote
$21.25 - $28.25/hr
Working knowledge of payer contracts, medical necessity criteria, and appeal procedural requirements. Coding certification (CPC/CCS) required for coding-related denials. Experience with at least one ...
Quality Control Auditor
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified ... plan contracts, fee schedules, and DOFR agreements. • Knowledge of DMHC, CMS, DHCS, and ...
Quality Control Auditor
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified ... plan contracts, fee schedules, and DOFR agreements. • Knowledge of DMHC, CMS, DHCS, and ...
Quality Control Auditor
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified ... contracts, fee schedules, and DOFR agreements. · Knowledge of DMHC, CMS, DHCS, and regulatory ...
Quality Control Auditor
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified ... contracts, fee schedules, and DOFR agreements. · Knowledge of DMHC, CMS, DHCS, and regulatory ...
Quality Control Auditor
San Bernardino, CA · On-site
$28.85 - $33.65/hr
... plan contracts, coding standards, reimbursement methodologies, and applicable regulatory ... Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified ...
Quality Control Auditor
San Bernardino, CA · On-site
$28.85 - $33.65/hr
... plan contracts, coding standards, reimbursement methodologies, and applicable regulatory ... Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified ...
Senior Manager of Managed Care Payer Analytics (Hybrid)
Los Angeles, CA · On-site
$105K - $234K/yr
Monitor contract performance trends, review reimbursement accuracy, and provide data-driven ... Professional certifications such as HFMA CRCR, CPHQ, or coding credentials including CCS or CPC
Senior Manager of Managed Care Payer Analytics (Hybrid)
Los Angeles, CA · On-site
$105K - $234K/yr
Monitor contract performance trends, review reimbursement accuracy, and provide data-driven ... Professional certifications such as HFMA CRCR, CPHQ, or coding credentials including CCS or CPC
Medical Plan Benefit Configuration Auditor
$30 - $42.50/hr
... provider contract setups, and communicate audit outcomes and remediation strategies clearly ... A Certified Professional Coder (CPC) or similar certification is highly preferred. * An Analytical ...
Quick apply
Medical Plan Benefit Configuration Auditor
$30 - $42.50/hr
... provider contract setups, and communicate audit outcomes and remediation strategies clearly ... A Certified Professional Coder (CPC) or similar certification is highly preferred. * An Analytical ...
Certified Professional Coder (CPC) - through AAPC * CHFP, FHFMA or other finance/RCM-related ... Stay current on changes to reimbursement methodologies and payer contract terms. * Work closely ...
Certified Professional Coder (CPC) - through AAPC * CHFP, FHFMA or other finance/RCM-related ... Stay current on changes to reimbursement methodologies and payer contract terms. * Work closely ...
Director Core Systems Strategies - QNXT/NetworX - Remote
Long Beach, CA · On-site +1
$96K - $208K/yr
... of contract, benefit configuration, and fee schedules. • Directs the implementation and ... Preferred Qualifications • Certified Professional Coder (CPC). • Extensive experience leading ...
Director Core Systems Strategies - QNXT/NetworX - Remote
Long Beach, CA · On-site +1
$96K - $208K/yr
... of contract, benefit configuration, and fee schedules. • Directs the implementation and ... Preferred Qualifications • Certified Professional Coder (CPC). • Extensive experience leading ...
Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding ... Additionally, by creating value-based contracts across a wide variety of health plans, we aim to ...
Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding ... Additionally, by creating value-based contracts across a wide variety of health plans, we aim to ...
Establishes and maintains benefits, provider contracts, fee schedules, claims edits, and other ... Preferred Qualifications Certified Professional Coder (CPC). Extensive experience leading analysis ...
Establishes and maintains benefits, provider contracts, fee schedules, claims edits, and other ... Preferred Qualifications Certified Professional Coder (CPC). Extensive experience leading analysis ...
Contract Cpc Coder information
See California salary details
$21.62 is the 25th percentile. Wages below this are outliers.
$16.84 - $21.67
25% of jobs
The median wage is $24.92 / hr.
$21.67 - $26.51
37% of jobs
$28.97 is the 75th percentile. Wages above this are outliers.
$26.51 - $31.34
25% of jobs
$31.34 - $36.17
4% of jobs
$36.17 - $41
4% of jobs
$41 - $45.83
2% of jobs
$45.83 - $50.66
2% of jobs
$50.66 - $55.49
0% of jobs
$55.49 - $60.32
0% of jobs
$60.32 - $65.15
0% of jobs
$65.15 - $69.99
0% of jobs
$16
$28
$69
How much do contract cpc coder jobs pay per hour?
What are the key challenges contract CPC coders face when starting a new assignment?
One of the most common challenges contract CPC coders encounter is quickly adapting to new healthcare providers’ documentation styles and organizational workflows. As each assignment may involve different specialties, EHR systems, and coding protocols, being able to learn and align with these variations efficiently is essential. Contract coders are also expected to produce high levels of accuracy under tight deadlines while sometimes working remotely or independently. Maintaining clear communication with supervisors and clinical staff is important to resolve documentation queries and ensure smooth billing processes.
What are the key skills and qualifications needed to thrive in the Contract Cpc Coder position, and why are they important?
To excel as a Contract CPC Coder, you need a solid understanding of medical coding principles, anatomy, and ICD-10, CPT, and HCPCS coding guidelines, backed by a Certified Professional Coder (CPC) credential. Familiarity with electronic health record (EHR) systems, coding software, and healthcare billing platforms is typically required. Strong attention to detail, time management, and effective written communication are valuable soft skills in this role. These capabilities ensure accurate claim submissions, proper reimbursement, and seamless collaboration with healthcare providers and billing teams.
What is a Contract CPC Coder job?
A Contract CPC Coder is a certified professional coder who works on a contractual basis to review and assign medical codes for diagnoses, procedures, and services. They ensure accurate coding for billing and insurance reimbursement, often working remotely or for healthcare providers, insurance companies, or third-party billing services. Contract coders typically have flexibility in their assignments and must stay updated on coding guidelines such as ICD-10, CPT, and HCPCS.
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Full-time
Posted 23 days ago
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
147th of 261 rated insurance
Job description
- Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
- Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments.
- Manages documents and prioritizes caseloads to ensure timely turnaround.
- Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
- Devises clinical summary post-review.
- Communicates and participates in meetings related to cases.
- Completes medical review to facilitate referral to law enforcement or payment recovery.
- Supports investigation work as necessary and required by the regulatory agency.
- At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
- Critical-thinking, problem-solving and analytical skills.
- Ability to prioritize and manage multiple tasks.
- Ability to work in a team setting.
- Strong verbal/written communication skills, and presentation skills.
- Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
- In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
- Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
- Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
- Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
- Ability to research and interpret regulatory requirements.
- Certified Professional Compliance Officer (CPCO).
- Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI).
- Experience working in group health insurance, particularly within claims processing or operations.
- Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.).
- Experience with claims processing systems.
- Ability to use Microsoft Excel/Access platforms working with large quantities of data.
- Ability to answer questions, identify trends and patterns, and present findings.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980